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FDA Approves Papzimeos as First Therapy for Adult Recurrent Respiratory Papillomatosis

Precigen will begin immediate promotion following FDA acceptance of Phase II data showing a 51% one-year surgery-free response under a favorable safety profile.

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Overview

  • The FDA’s decision grants full approval of Papzimeos for adult patients with recurrent respiratory papillomatosis who previously relied solely on repeated surgical debulking.
  • In a single-arm, open-label Phase II trial of 35 adults, 18 (51%) achieved complete responses, defined as no need for surgical intervention for 12 months after treatment.
  • Among those 18 responders, 15 evaluated at 24 months remained in complete response, demonstrating the therapy’s potential for durable disease control.
  • Safety data showed no treatment-related serious or grade 3 or higher adverse events, with most participants experiencing only mild side effects such as injection site reactions, fatigue, chills and fever.
  • Following the approval, Precigen began immediate promotion; shares surged more than 40% with CBER director Vinay Prasad defending the decision as proof that randomized trials may not always be required.